Panchkula government hospitals reach full capacity with fever patients – ET HealthWorld
Panchkula: The special team of doctors who had come from the community medicine and epidemiology department of Postgraduate Institute of Medical Education and Research (PGI) said the mysterious or unknown fever in medical terms is known as pyrexia of unknown origin (PUO). Meanwhile, beds at emergency wards in civil hospitals are fully occupied and the authorities are planning to increase capacity.
The doctors said PUO is declared when a persistent fever evades diagnosis for at least three weeks, including one week of investigation in the hospital. While explaining the clinical approach to PUO, the doctors stated that the diagnostic approach to a patient with PUO is usually methodical.
“While studying PUO, a thorough history is essential and will have to go back months or years to yield clues to potential aetiologies for investigation,” the senior doctors working on finding the mysterious fever said. PGI doctors are trying to find out the pattern of fever — whether episodic or consistent — and general health of the patient during and between episodes of fever together with any associated past or current symptoms.
Also, the expert doctors’ team is enquiring a detailed past medical and surgical history, all medication the patient takes or has taken including drugs, herbal, traditional medications, recreational drug use and vaccinations, if any. “A comprehensive travel history of the patients is also needed together with occupations, environmental, animal and sexual exposures to find out the exact cause,” added a senior doctor of the civil hospital at Sector 6.
Another major factor for the PUO study includes illness in contacts and a family history of similar illness may be relevant. This history will be revisited at regular intervals, both to highlight clues that were previously missed or initially not considered to be relevant and to review any change in symptoms.
While on the other side, the hospital authorities are struggling to keep new patients in the emergency and special wards made for this unknown fever. Principal medical officer (PMO) Dr Rajeev Kapoor has also taken one meeting with his team to plan to add more beds to cater patients in civil hospital, sub-divisional hospital Kalka and urban health clinic Pinjore.
On Saturday, a three-member doctors team from the community medicine and epidemiology department of PGI visited civil hospital on the request of Panchkula chief medical officer Dr Mukta Kumar and discussed the details of the fever. The team of doctors later took reports of the unknown fever patients and started their study to find out the exact cause of fever. The team is reporting to cCommunity medicine and epidemiology department head, PGI, Dr Arun Aggarwal. They said it will take around two weeks or more to ascertain the cause of fever.
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